For this assessment, you will develop the final care coordination strategy you based on your health care concern and population in Assessment 2 using best practices found in the literature.

This assessment builds on your initial care coordination infographic by providing an opportunity to research the literature and apply evidence to support what communication, teaching, and learning best practices are needed for your selected health care problem.

Note: You are required to complete this assessment only after Assessment 2 is successfully completed.

Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.

In this assessment, you will evaluate the preliminary care coordination infographic you developed in Assessment 2 using best practices found in the literature.

To prepare for your assessment, you will research the literature on your selected health care problem. You will describe the priorities that a care coordinator would establish when discussing the plan with a patient and family members. You will identify changes to the strategy based upon evidence-based practice and discuss how the strategy includes elements of Healthy People 2030.

Build on your preliminary care infographic and selected health concern and population and create a detailed comprehensive final care coordination strategy.

It is suggested that you use the following outline to organize your 5–7 page paper, including headings:

• Design patient-centered health interventions and timelines for your selected healthcare problem.
  • Address three patient healthcare issues related to your selected healthcare problem and patient population
    • Example: Healthcare problem: Type 1 diabetes in pediatric patients.
      • Health issues.
        • Depression.
        • Exercise.
        • Poor glucose control.
  • Design an intervention for each health issue.
  • Identify three community resources for each health intervention.
  • Establish timelines for implementing these interventions.
  • Include evidence to support your ideas.
• Consider the ethical decisions in designing patient-centered health interventions for your selected healthcare problem.
  • Include the ethical questions that generate uncertainty about the decisions you have made.
  • Include evidence to support your ideas.
• Identify relevant health policy implications for the coordination and continuum of care of your selected healthcare problem and population.
  • Cite specific health policy provisions.
  • Include evidence to support your ideas.
• Describe the priorities a care coordinator would establish when discussing the plan with a patient and family members.
  • Include evidence to support your ideas
• Use the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to Healthy People 2030.
  • Clearly explain the need for the changes to the plan.

The requirements, outlined above correspond to the grading criteria in the Final Care Coordination Strategy scoring guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed.

Format and Length

• Write a 5–7 page APA-formatted scholarly paper (excluding title page and reference list).
• Include five evidence-based resources.
• Properly cite evidence throughout your paper.

Good luck with your care coordination plan!

Designs patient-centered health interventions and timelines for a selected healthcare problem that includes community resources.

Considers the ethical decisions in designing patient-centered health interventions for a selected healthcare problem, including ethical questions that generate uncertainty about the decisions made. Ideas are supported by the literature.

Identifies relevant health policy implications for the coordination and continuum of care, based on accurate interpretations of policy provisions and supporting evidence.

Describes priorities that a care coordinator would establish when discussing the plan with a patient and family members, including evidence to support ideas.

Uses the literature on evaluation as a guide to compare learning session content with best practices, including how to align teaching sessions to Healthy People 2030. Explains the need for changes to the plan.

Exhibits strict and flawless adherence to APA formatting of headings, in-text citations, and references. Correctly uses quotes and paraphrasing.

Organizes content with a clear purpose. Content flows logically with smooth transitions using coherent paragraphs, correct grammar/punctuation, word choice, and free of spelling errors.